Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.94 / $3,076.35 / $8,240.00	Facility		$717.94	$3,076.35	$8,240.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,005.00 / $5,005.00 / $5,963.77	Facility	50	$5,005.00	$5,005.00	$5,963.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.92 / $571.67 / $892.55	Professional		$424.92	$571.67	$892.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $596.84 / $596.84 / $4,007.74	Professional	50	$596.84	$596.84	$4,007.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $623.79 / $647.34 / $1,124.13	Professional		$623.79	$647.34	$1,124.13
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $935.70 / $971.01 / $1,686.22	Professional	50	$935.70	$971.01	$1,686.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.31 / $569.79 / $892.24	Professional		$386.31	$569.79	$892.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $765.78 / $765.78 / $987.49	Professional		$765.78	$765.78	$987.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,015.20 / $4,443.01 / $6,721.00	Facility		$3,015.20	$4,443.01	$6,721.00
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $10,457.04 / $10,457.04 / $10,717.42	Facility	50	$10,457.04	$10,457.04	$10,717.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.77 / $736.84 / $835.29	Professional		$518.77	$736.84	$835.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $4,761.00 / $8,247.00	Facility		$976.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $5,005.00 / $5,005.00 / $5,963.77	Facility	50	$5,005.00	$5,005.00	$5,963.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $613.84 / $2,132.28	Professional		$432.81	$613.84	$2,132.28
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $596.84 / $596.84 / $4,007.74	Professional	50	$596.84	$596.84	$4,007.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $643.90 / $643.90 / $643.90	Professional		$643.90	$643.90	$643.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $408.37 / $577.72 / $887.47	Professional		$408.37	$577.72	$887.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $437.01 / $451.62 / $625.13	Facility		$437.01	$451.62	$625.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $434.53 / $579.80 / $670.47	Professional		$434.53	$579.80	$670.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.03 / $688.54 / $1,239.05	Professional		$527.03	$688.54	$1,239.05